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oP5741". SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siclov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: Date: <br /> ddress: 3 M&e— IC h City: Zip Code: <br /> caner/Operator. CQ Telephone: <br /> G <br /> Program Element: r'D Program Record: /;-�7� ' C� Inspection Types.,' , &h��— <br /> B180 Posted V `l Yes fl Rermit Posted l/ 6,L' Yes ❑QI Re-Inspection on or After: <br /> S fV"vti dM ✓1 ✓VLt-a <br /> A-411I A, <br /> S <br /> 4C A If-lu C_4t V"_ . <br /> JjAe"� f— <br /> �Gt� �vie lrl.e-�i <br /> 7_ �m/Lo ori - " Tem ereture Item ll.ocation . Temperature <br /> I <br /> Facility Hot Water Temperatures Warewashing <br /> ame: Hand Sink: 'F Chlorine: ppm Heat F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other. 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: - Time Out: Page2o <br /> EHD 1624 (2-pg) 4/3113 FOODPROGRAMOIR CONTINUATION <br />